Individual provider · Type 1 NPI

Suzette Reine Wisdom, PA-C

Medical Physician Assistant · Yuma, AZ

NPI number 1093299075 Active

Practice location

2775 S 8th Ave
Yuma, AZ 85364-7110

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110006948 (VA)
Physician Assistant 363A00000X333188 (LA)
Medical Physician Assistant Primary 363AM0700X7203 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1093299075

Suzette Reine Wisdom, PA-C's National Provider Identifier is 1093299075, issued on Sep 17, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Yuma, AZ. The record was last updated on Jul 13, 2025.